How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $102.33 | Facility | None | $69.18 | $69.18 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $102.33 Typical High $251.19 | Professional | None | $69.18 | $102.33 | $251.19 |
Ambetter Setting Professional Modifier None Typical Low $107.15 Median $128.82 Typical High $199.53 | Professional | None | $107.15 | $128.82 | $199.53 |
BCBS Nebraska Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $263.03 | Facility | None | $223.87 | $223.87 | $263.03 |
BCBS Nebraska Setting Professional Modifier None Typical Low $60.26 Median $102.33 Typical High $138.04 | Professional | None | $60.26 | $102.33 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $208.93 Typical High $269.15 | Professional | None | $128.82 | $208.93 | $269.15 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $181.97 Typical High $331.13 | Facility | None | $109.65 | $181.97 | $331.13 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $281.84 Typical High $691.83 | Professional | None | $125.89 | $281.84 | $691.83 |
Midlands Setting Professional Modifier None Typical Low $147.91 Median $208.93 Typical High $275.42 | Professional | None | $147.91 | $208.93 | $275.42 |
Midlands Setting Professional Modifier None Typical Low $144.54 Median $208.93 Typical High $288.40 | Professional | None | $144.54 | $208.93 | $288.40 |
United Setting Professional Modifier None Typical Low $91.20 Median $181.97 Typical High $281.84 | Professional | None | $91.20 | $181.97 | $281.84 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $39.81 Typical High $51.29 | Professional | 52 · Reduced service | $34.67 | $39.81 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $12.02 Typical High $15.49 | Professional | 55 · Aftercare only | $10.23 | $12.02 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $7.94 Typical High $10.23 | Professional | 56 · Pre-op care only | $6.92 | $7.94 | $10.23 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $107.15 Median $144.54 Typical High $194.98 | Professional | 25 · Same-day visit | $107.15 | $144.54 | $194.98 |
Ambetter Setting Professional Modifier EP · Child screening program Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | EP · Child screening program | $181.97 | $181.97 | $181.97 |
Where Nebraska sits
The same service costs 2.9 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Nebraska· 12th of 51
$129
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.